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MD · Confidentiality · Advanced2
Clear filters- Practice this question nowEthicsAdvancedMMI station MD, DO, PA
Genetic testing shows the husband isn't the father. The wife begs you not to tell him. Then he asks you if anything came back abnormal. What do you say?
Confidentiality · Integrity · Communication
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Sample answer outline
- Clarify the facts: who ordered the test, for what clinical question, and whose information this is.
- Answer his actual question truthfully: report the results relevant to the child's health. Non-paternity was an incidental finding, not what the test was for.
- Don't lie, and don't disclose what isn't yours to share. You can say you will go over the medical findings with both parents.
- Speak with the wife privately: understand her fears, check her safety, encourage her to consider disclosure, offer counseling.
- Involve genetics colleagues and ethics, and follow local law and policy, which vary.
What makes it work
- It separates honesty from full disclosure, which is the heart of the dilemma.
- It keeps the child's medical interests in view.
Avoid
- Telling the husband outright, or lying to him.
- Treating it as a simple yes or no.
- Practice this question nowEthicsAdvancedMMI station MD, DO, PA
A 12-year-old asks you for birth control and begs you not to tell her parents. What do you do?
Confidentiality · Patient safety · Communication
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Sample answer outline
- Notice the age. At 12, sexual activity is a safeguarding concern in most places, so the child's safety comes first.
- Before she shares more, explain honestly what you can keep private and what you can't.
- Talk gently and privately: who she is involved with, whether she feels safe, any signs of coercion or abuse.
- Follow mandatory reporting duties where they apply, with your supervisor and child protection services.
- Still meet her health needs: information, protection, and encouragement to involve a trusted adult.
What makes it work
- It recognizes the safeguarding issue many applicants miss.
- Being honest about the limits of confidentiality keeps her trust.
Avoid
- Promising total secrecy.
- Treating it like the same request from a 16-year-old.
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